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Back in the game(s) – One patient’s experience with outpatient knee replacement surgery

Troy Graer was tired of the pain. “Every day was a bad knee day,” he says. “I’d been having knee pain for the last four or five years. But the last year was the worst.”

His x-rays showed that both knees were bone-on-bone. Not surprisingly, cortisone shots didn’t do much to lessen the pain.

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Considering knee replacement? Outpatient surgery may be an option.

capital orthopaedics building

Knee replacement is a major operation and usually requires at least one night in the hospital. Now there’s an alternative.

Outpatient knee surgery is usually done in a surgery center. Patients get to go home the same day of the surgery — usually without any time at all in the hospital.

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Robotics-Assisted Partial Knee Replacement

If you’ve considered knee surgery but have been putting it off, you’ll want to read this.

Studies show that close to 50% of people will develop osteoarthritis, a degenerative bone disease that can cause knee cartilage to break down. Delaying treatment can cause more damage and more pain — and it can eventually reduce your surgical options.

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What is Tennis Elbow?

tennis elbow capital ortho clive iowa

Tennis elbow happens when you overload or put continuous pressure on your elbow. Pain usually occurs on the outside of your arm, where your forearm meets your elbow (although it can also spread into your forearm or wrist).

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Have you heard of Mommy Wrist?


New parents who repeatedly lift their babies under their arms may experience a condition commonly called Mother’s Wrist,  caused by pointing the thumbs up and wrapping the other fingers around the back of the baby, which results in inflammation of the tendons below the thumbs.

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What is Carpal Tunnel Syndrome and what can I do to prevent it?


What is carpal tunnel syndrome?
Carpal tunnel syndrome is a common condition that affects 3-6% of adults in America. It is characterized by numbness, tingling, and weakness in the hand and arm.

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Muscle Pain, Numbness, Tingling or Weakness? An EMG May Help.

muscle and nerve pain

Do you suffer from muscle twitching, weakness, numbness, or paralysis? What about sensations of burning, pinpricks, or sudden shocks of electricity?

You’re not alone. Millions of Americans suffer from muscle and nerve pain. It can be frustrating for some and devastating or life-changing for others.

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Four Easy Ways for Runners to Eat Clean

healthy food basket

“Eating clean” may be a trendy diet term, but it’s one runners can easily embrace. After all, real, whole foods, with health-boosting nutrients, that are low in (or free from) additives, and grown organically and in a sustainable way are good for your overall health and for peak performance.

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Food for thought; how good nutrition can help your joints

food for thought

We’ve heard that a change in diet may help cholesterol levels or help to bring down blood pressure, but what effect can diet have on our joints? Although orthopedics tends to be a field of fixing things that are already broken, there are some things you can start changing about your diet that may go a long way …

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The New Performance Enhancer in High School Sports? Nutrition

sports nutrition

Jordan Burg, 18, who plays varsity football and baseball and runs track, never used to think about what he was eating. But after he learned at school that nutrition was as important to his athletic performance as attending practice, he changed his diet.

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Best Ways To Recognize And Treat An Ankle Fracture

ankle fracture

A fracture is a partial or complete break in a bone. An ankle fracture can range from a simple break in one bone, which may cause discomfort but not stop you from walking, to more serious fractures, which damage multiple bones that hold your ankle joint in place and may require surgery or immobilization for some time.

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New pain relief technique for ACL knee surgery preserves muscle strength

ACL knee surgery

Anesthesiologists can significantly reduce loss of muscle strength in ACL knee surgery patients using a new pain management technique, a new study has found.

Anterior cruciate ligament, or ACL, repair is one of the most common orthopedic procedures …

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The Consequences of Weight Gain for Arthritis

obesity sign

We all fear weight gain for the obvious aesthetic reasons. Nobody wants to fall prey to obesity for fear of what it may do to his or her appearance, but have you ever thought about what gaining weight can do to your joints?

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Step Away From The Exercise Plateau

weight training

If you are an avid exerciser you may expect your body to continue to change and evolve for the better as you continue to workout. However, if you maintain the same diet and workout routine you could end up hitting a plateau. Continuing the same workout routine with little variation will still condition your body, but eventually you will come to a point where you are no longer seeing forward progress. So, how do you get past this little roadblock and amp up your routine?

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Alter-G Anti-Gravity Training – My First Hand Experience

AlterG Anti-Gravity treadmill

One of the great things about living in Silicon Valley is that. occasionally, you get to be one of the first to see a technology that will clearly change everything. I had just that opportunity last week when the guys from Alter-G invited me to come down and try their anti-gravity treadmill. Yup, you read it right – an anti-gravity treadmill. After 30 minutes on this thing, I now know why former world-record marathoner Alberto Salazar has been raving about it – Alter-G presents a whole new approach to distance training.

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All About Meniscus Tears

Any type of knee injury can throw a wrench in your daily activities. Knee injuries often prevent you from carrying out any or all of your normal activities. One type of knee injury in particular can have a large impact, the meniscus injury. The meniscus can easily tear when the knee is twisted in the wrong way. If severe, the knee may even need surgery!

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Running. Back to Basics. Base Building.

running group

Every runners benefits from revisiting the basics … in this case — Base building.
The popularity of running has exploded. With that has come an increase in injuries associated with running. Although we have covered many of the causes of various runner’s maladies, a very common cause is simply that you are overtraining.

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Shoulder Pain and Common Shoulder Problems

Shoulder pain

What most people call the shoulder is really several joints that combine with tendons and muscles to allow a wide range of motion in the arm — from scratching your back to throwing the perfect pitch.

Mobility has its price, however. It may lead to increasing problems with instability or impingement of the soft tissue or bony structures in your shoulder, resulting in pain. You may feel pain only when you move your shoulder, or all of the time. The pain may be temporary or it may continue and require …

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Add These Bone-Healthy Foods To Your Diet

Food for healthy bones

Food can play an important role in your orthopedic health. When it comes to foods that help you build a healthy and strong musculoskeletal system, what is the first thing that usually comes to mind? You’d probably say “milk.”

It isn’t just about the dairy, though (breathe easy, lactose-intolerant, vegetarian and vegan friends). While milk is an excellent and efficient …

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Ryan Smith, MHA joins Capital Orthopaedics

Ryan Smith

Capital Orthopaedics & Sports Medicine, PC is pleased to announce that Ryan Smith, MHA, will join their organization in January as the Vice President of Operations. Ryan is returning to central Iowa from a leadership role with Mayo Clinic Health System, where he has served as a Hospital Administrator and Regional Operations Administrator since 2011. Prior to this role, Ryan was the Development Director at Dallas County Hospital in Perry.

Ryan is a native of north central Iowa and holds an associate of arts degree from Waldorf College, a bachelor’s degree in Health Promotion from the University of Northern Iowa, and a master’s degree in Healthcare Administration from Des Moines University.

Capital Orthopaedics & Sports Medicine, PC is a ten physician orthopaedic group serving multiple central Iowa locations. The physician’s specialties include: total joint replacement, sports medicine, hand and elbow surgery, foot and ankle surgery and physiatry. Capital Orthopaedics is able to provide services for MRIs and EMG/NCS studies. Additionally, COSM has onsite physical therapy and occupational therapy services.

Capital Orthopaedics & Sports Medicine, PC


Capital Orthopaedics & Sports Medicine is excited to bring the new AlterG Anti-Gravity Treadmill to Central Iowa.

The AlterG Treadmill is the world’s first and only treadmill using NASA based anti-gravity technology and has been installed to help provide patients the opportunity to experience rehab or training without pain, even while you are still recovering from surgery or an injury.

Watch as Molly Nelson from KCCI trys the Alter G.

New treatment, new knee?

olympic swimmer

Autologous chondrocyte implantation is a new treatment that repairs damages in articular cartilage. ACI provides pain relief while at the same time slowing down the progression or considerably delaying partial or total joint replacement (knee replacement) surgery. The goal of ACI is to allow people suffering from articular cartilage damage to return to their old lifestyle; regaining mobility, going back to work and even practicing sports again.

Olympic swimmer Dara Torres had the procedure done on her knee last year and is on track to compete in the London Olympics in 2012.

About Torres and the procedure.

This cutting edge procedure is being done right here in Des Moines by Dr. Bill Jacobson. For more information on this type of procedure and to see if it might help ease your knee pain contact Dr. Jacobson at Capital Orthorpaedics & Sports Medicine 440-2676.

Todd Peterson, DO joins Capital Orthopaedics

Dr. Peterson

Capital Orthopaedics and Sports Medicine welcomes Todd Peterson, DO to our team of experienced and dedicated orthopaedics and sports medicine providers.

Todd is a native of Des Moines and completed his undergraduate education at Bethel University and medical education at DMU. He did his residency at Michigan State University’s St. John Providence Health, where he became chief resident. He completed his Fellowship in Adult Reconstruction at Southern Illinois University, Springfield, IL.

12499 University Ave. Clive, Iowa 50325